Active NPI 1538484415 Individual Practitioner Male Practitioner

Dr. Raul A Zamora , MD

Surgery • Circleville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raul Zamora, MD is a certified Surgery practicing in Circleville, OH. With approximately 16 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2010, Dr. Zamora delivers high-quality medical care to the local community at 600 N PICKAWAY ST STE 203.

Dr. Zamora maintains professional affiliations with Prime Healthcare Foundation - Coshocton, Llc, Regional Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 N Pickaway St Ste 203
Berger Health System

Circleville, OH 431131447

Telephone 7404742126

Associated Practice Facility / Clinic

🏢 Circleville Emergency Physicians Inc. Facility NPI 1770583833

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Circleville, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.8 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Circleville, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zamora (16 Years) 16 Yrs

Circleville Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	25	$113.57	$47.78
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$256.00	$86.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$455.57	$82.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	19	$209.52	$76.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$215.00	$122.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$376.67	$85.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$723.00	$240.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$318.00	$106.29
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$538.00	$159.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	30	$76.74	$48.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$159.00	$54.20
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$256.00	$87.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$401.31	$96.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$723.00	$246.08
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$204.00	$69.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	118	68	$114.98	$38.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	46	$76.00	$55.17
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$130.00	$70.15
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$459.43	$102.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$529.88	$96.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$948.00	$249.62
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$126.00	$88.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$168.43	$70.39
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$194.06	$99.34
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$668.00	$181.26
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$668.00	$175.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	39	$119.50	$37.67
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$126.00	$88.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	33	$76.00	$54.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	30	$526.00	$95.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$948.00	$252.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$189.00	$109.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$173.73	$70.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$291.00	$164.49
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$447.00	$106.44
99221 Initial hospital inpatient care per day, typically 30 minutes	18	16	$195.00	$99.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$187.00	$126.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$245.00	$133.49
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$130.00	$70.93
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$668.00	$184.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	38	$145.03	$105.59
99213 Established patient office or other outpatient visit, typically 15 minutes	42	38	$99.78	$72.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	21	$68.57	$39.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$206.33	$136.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$208.30	$95.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$536.84	$251.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$238.84	$88.94
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$142.25	$101.09
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$349.71	$179.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	80	$88.21	$71.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$141.55	$103.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	17	$58.32	$38.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$202.65	$135.03
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$399.78	$246.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$220.89	$108.24
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$195.74	$107.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	74	$130.29	$99.67
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$88.35	$68.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$202.65	$130.06
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$195.74	$100.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$399.78	$249.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$220.89	$111.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$58.32	$37.32
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$291.84	$181.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$131.26	$102.47
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	59	55	$150.00	$5.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$200.40	$133.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	17	$104.55	$68.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	18	$58.32	$38.38
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$195.97	$112.65
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$95.10	$70.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$399.78	$257.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$214.27	$158.86
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$291.84	$171.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$221.19	$110.91

Medical Specialties & State Licenses

CMS Verified: 2020-11-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.126910

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Regional Health Services Inc

100 Fairfield Dr, Seneca, PA 163462130

Phone: 4124325203

Prime Healthcare Foundation - Coshocton, Llc

1460 Orange St, Coshocton, OH 438122229

Phone: 7406226411

Regional Health Services Inc

3406 Peach St, Erie, PA 165082740

Phone: 8148775381

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Lisa Voorhis , PA-C

Physician Assistant

NPI 1013691120

Physician Assistant (Certified)

Dr. Darryl Koop , MD

Family Medicine

NPI 1023068384

Doctor of Medicine (M.D.)

Dr. Diane Jenkins , DO

Emergency Medicine

NPI 1023075116

Doctor of Osteopathic Medicine (D.O.)

Dr. Dimitri Teague , MD

Emergency Medicine

NPI 1043277163

Doctor of Medicine (M.D.)

Dr. Charles Marti , MD

Emergency Medicine

NPI 1114977493

Doctor of Medicine (M.D.)

Dr. William Jenkins , MD

Emergency Medicine

NPI 1124100490

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 25, 2022

Registered at 600 N PICKAWAY ST STE 203, BERGER HEALTH SYSTEM, CIRCLEVILLE, OH 431131447 (Tel: 7404742126)

📍

Updated Business Mailing Address November 09, 2020

Registered at 5450 FRANTZ RD STE 360, DUBLIN, OH 430164141

✅

NPI Profile Active August 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2015

Registered at 600 N. PICKAWAY ST, SUITE 203, BERGER HEALTH SYSTEM, CIRCLEVILLE, OH 43113 (Tel: 7404742126)

📍

Updated Business Mailing Address August 21, 2015

Registered at 600 N. PICKAWAY ST, SUITE 203, BERGER HEALTH SYSTEM, CIRCLEVILLE, OH 43113 (Tel: 7404742126)

👤

Provider Name / Credentials Updated August 21, 2015

Recorded as RAUL ZAMORA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2015

Surgery (License #35.126910 in OH)

🟢

Initial NPI Registration & Enumeration April 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538484415

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 02, 2010

Last Update: July 30, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Frantz Rd Ste 360

Dublin, OH 430164141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.